Abstract
Actinomycosis, a chronic indolent infection, can involve any site in the body and is a diagnostic challenge that requires knowledge of the full spectrum of clinical syndromes. Three classic presentations that should prompt consideration of this unique infection are (1) chronicity, progression across tissue boundaries, and masslike features (mimicking malignancy, with which it is often confused); (2) the development of a sinus tract; and (3) a refractory or relapsing infection after a short course of therapy, because cure of established actinomycosis requires prolonged treatment. Recognition is critical to expedite diagnosis and treatment, and to minimize unnecessary surgical interventions, morbidity, and mortality.
| Original language | English |
|---|---|
| Title of host publication | Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, 9th Edition |
| Subtitle of host publication | Volume 1-2 |
| Publisher | Elsevier |
| Pages | 3071-3081.e3 |
| Volume | 2 |
| ISBN (Electronic) | 9780323482554 |
| ISBN (Print) | 9780323775564 |
| DOIs | |
| State | Published - Jan 1 2019 |
Keywords
- Actinomyces
- actinomycosis
- bisphosphonate-associated infection
- companion organisms
- filamentous rods
- intrauterine device-associated infection
- malignancy mimic
- relapsing infection
- sinus tract
- sulfur granule
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